Individual provider Active NPI

Angela Marie Rosenberg Hauger, PH.D., L.P.

  • Clinical Psychologist
  • Duluth, MN
National Provider Identifier
1235576802
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2552 Issued in MN
Practice address
324 W Superior St Ste 400
Duluth, MN 55802-1726
Phone
(218) 348-1960
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2552 MN Primary

Addresses

Primary practice location

324 W Superior St Ste 400
Duluth, MN 55802-1726

Mailing address

324 W Superior St Ste 400
Duluth, MN 55802-1726
Phone (218) 348-1960

Other names 1

  • Dr. Angela Marie Rosenberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130925000884 MN Practitioner - Clinical Psychologist 3072757376 Practice locations: Duluth, MN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

324 W Superior St
Suite 400
Duluth, MN 55802-1726
Phone (218) 348-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1235576802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-348-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021726",
            "telephone_number": "218-348-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGER",
        "first_name": "ANGELA",
        "middle_name": "MARIE ROSENBERG",
        "name_prefix": "Dr.",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "ROSENBERG",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PH.D., L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.